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General NPI Number Information
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NPI Number | 1881309110
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Entity Type | Individual
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Provider Name | LINDSAY MOORE LSW, CTP
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Gender | Female
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 150 W CRAWFORD AVE
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City | CONNELLSVILLE
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State | PA
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Zip | 15425-3527
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Country | US
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Telephone | 724-626-9941
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Fax |
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Provider Business Mailing Address
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Address Line | 21 SCHOOL HOUSE RD
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City | NORMALVILLE
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State | PA
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Zip | 15469-1017
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Country | US
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Telephone | 724-562-4986
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW138850
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License Number State | PA
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